Digital Commons Network^™

Reducing Emergency Department Length Of Stay By System Change, Brian Dale Haybarker

Walden Dissertations and Doctoral Studies

Emergency departments (ED) are exceeding the Centers for Medicare and Medicaid Services and The Joint Commission's recommended 4-hour door-to-admission and 2-hour door-to-discharge for patients. The purpose of this project was to look for factors that decrease door-to-admission and door-to-discharge times and offer recommendations to the Patient Flow Committee (PFC) at the health care facility that may reduce overcrowding, diversion, and patient boarding. The 7-step Iowa model of evidence-based practice (EBP) was used to concentrate on problem-focused triggers that initiate the need for change. The project focused on decreasing door-to-admission and door-to discharge times: by opening an observation unit run by …

Preventative Strategies To Improve Birth Outcomes Among African American Women In Rhode Island, Yvonne Michele Heredia

Walden Dissertations and Doctoral Studies

Despite increased access to prenatal care, birth outcomes continue to be a major source of disparity among women in the United States. The focus on lifestyle choices and negative behaviors prior to a pregnancy to reduce adverse birth outcomes has become a well-documented strategy. The purpose of this study was to determine if preparing for a pregnancy in advance improves birth outcomes for African American women of childbearing age between the ages of 12 and 45 years in the State of Rhode Island (RI). The theoretical foundation for this study was based on Prochaska's model of change, which is also …

School Climate, Developmental Assets, And Academic Success In Kipp Hispanic Students, Rebecca Elaine Lopez

Walden Dissertations and Doctoral Studies

Hispanic students residing in the United States have historically been the lowest-achieving ethnic group in public schools and have a high dropout rate. A stark comparison to those statistics can be found within the Knowledge is Power Program (KIPP) charter schools in San Antonio, Texas, which have a majority Hispanic student population that is thriving academically and advancing to college. Using the Search Institute's positive youth development theory, the purpose of this study was to (a) quantitatively explore how school climate moderates the relationship between Hispanic student acquisition of developmental assets and academic success at KIPP charter schools from the …

We Left Lassie Behind: Defense Personnel Relocation, Animal Abandonment, And Shelter Impacts, Gabriele Griffiths

Walden Dissertations and Doctoral Studies

When Department of Defense (DoD) personnel receive orders to relocate to a new duty installation, nearly one third abandon their companion animals, which negatively affects the local shelters' costs, personnel, and capabilities to provide quality care for shelter animals. There is a lack of research on relevant policies among local government policy makers, installation commanders, directors of animal shelters, and animal rights advocates about the abandonment of companion animals by DoD personnel. The purpose of this qualitative descriptive case study was to investigate the relationship between the influx of abandoned DoD companion animals and the management and logistical (including financial) …

Barriers To The Influenza Vaccination In Veterans, Zina Floyd

Walden Dissertations and Doctoral Studies

Influenza is the eighth leading cause of death in the United States, accounting for 56,000 deaths annually and leading to an average of more than 200,000 hospitalizations every year. Adults 65 years of age and older account for 50% to 60% of influenza-related hospital admissions and an estimated 90% of influenza-associated deaths occur in people age 65 and older. During the 2011 to 2012 influenza season, approximately 50 % of veterans between 45 and 70 years of age refused the influenza vaccine within the metro-area outpatient Veteran Administration (VA) facility in Atlanta, Georgia. The aim of this project was to …

Fukushima Nuclear Disaster Response Impact On Graduate Students, Sean Eric Kil Patrick Gay

Walden Dissertations and Doctoral Studies

The roles that universities played in the response to the Fukushima nuclear disaster were significant and varied; however, there was limited study on participating graduate students. The purpose of this study was to understand the impact of disaster response on graduate students' personal and academic development. This study examined research questions about the perceived impact on academic and personal identity development. Empowerment, cognitive content engagement, general systems theory, and utilitarianism formed the theoretical foundation. This study used a transcendental phenomenological approach to examine the subjects' experiences in the context of involvement in disaster response. The primary source of data was …

Assessing Spirituality Among Hospice Patients: A Phenomenological Study Of Hospice Nurses, Isabel Esther Kaufman

Walden Dissertations and Doctoral Studies

The shift in health care and nursing philosophy and practice from a holistic approach to a highly technological, cure-oriented approach has been attributed to effective pharmaceuticals made to prolong life. Recently medical professionals have shifted their focus to a combination of spiritual healing and medicine. Hospice care in particular have taken a key interest in integrating spirituality within their health care. The problem is that due to the complications in defining spirituality and appropriate training and education of spirituality within nursing curriculum, assessing patients' spiritual distress may be difficult for many hospice nurses which may be at a loss when …

U. S. History Teachers Perceptions Of Georgia's Common Core State Standards, Garnica Lewis

Walden Dissertations and Doctoral Studies

Since 2011, 45% of high school seniors have not been graduating from a rural central Georgia high school, with the majority of them failing U.S. History. As of 2013, only 32% of seniors in Georgia passed U.S. History, which is a core course. Although the local school board mandates that U.S. History teachers use Common Core Georgia Performance Standards to improve passing rates, the low proficiency rates for U.S. History suggest that a gap in practice exists, thus indicating the need for further research. The purpose of this qualitative case study was to explore U.S. History teachers' experiences with and …

Leadership Influences Of The Veteran Alpha Female Leader, Danielle J. Moncrief

Walden Dissertations and Doctoral Studies

In recent years, more women have entered positions of leadership, and their alpha personalities have compelled them to strive for higher positions of authority. With this influx, it has become necessary to better understand the influences of this type of female leader and to expand narrow conceptualizations. Previous studies examined alpha female leaders of high school and college-age, but studies have yet to explore this type of leader beyond college. This phenomenological study sought to examine the influence of the minority identity, life experience, and leadership duration on veteran alpha female leaders. It was grounded in social-role and ethnic-identity theory. …

Pregnant Obese Women And Factors Which Impact Their Social And Physiological Well-Being, Stephanie Denise Morgan Frye

Walden Dissertations and Doctoral Studies

For more than 50 years, researchers have recognized complications associated with obesity and pregnancy as a problem for mothers and their unborn children. Despite this recognition, the rates of obesity and mortality in pregnant women have continued to rise. Using the health belief model, the transtheoretical model of behavior change, and the social cognitive theory as the theoretical frameworks, this phenomenological study examined barriers that might hinder the health of obese pregnant women and their unborn children. Semi-structured interviews were conducted with 12 women who had a body mass index of 30 to 50, were between the ages of 18-55, …

Fall Prevention Quality Initiative: Implementation Of A Unit Safety Champion (Usc), Susan Lynn Rednak

Walden Dissertations and Doctoral Studies

The literature supports that a Unit Safety Champion (USC) may reduce falls among hospitalized patients. The purpose of this project was to determine if the implementation of a USC would assist in reducing falls on an acute unit in an urban hospital environment. The frequency of patient falls on the unit was collected from the hospital's quality department 3 months before and 3 months after the implementation of the USC. The average number of falls for 3 months before implementation was 5.0 per month (SD = 2.65) and involved a total of 15 individual patients. The average number of falls …

Evidence-Based Mentorship Program: Overview, Review Of Evidence, And Approach, Elizabeth Villanueva

Walden Dissertations and Doctoral Studies

Nurses comprise the largest segment of the healthcare workforce. Adequate numbers of

nurses help to ensure sufficient and safe nursing care in all settings. The current nursing shortage poses a barrier to optimum nursing care, and the nature of recruitment and retention of nurses has generated research interest because of its association with the labor shortage. The purpose of the project was to develop a nurse mentorship program for possible adoption by a northern state correctional facility. Goals are to aid recruitment and improve retention of nurses in the facility. This quality improvement project was informed by Jean Watson's theory …

Teachers' Perspectives On Implementing Social-Emotional Learning Standards, Sheila Youngblood

Walden Dissertations and Doctoral Studies

The problem this study addresses is the extent to which social-emotional learning programming is effectively implemented. Since social-emotional learning programming has emerged as a significant aspect of U.S. education, man states have included social-emotional standards and programming as an essential part of the curriculum. Researchers have found that effective reform includes not only emphasis on academic and standardized test scores, but also on social-emotional influences. As a school reform initiative, a Social Emotional Learning (SEL) program is being implemented at a Midwestern high school. The purpose of this qualitative descriptive interview study was to explore the perceived effectiveness of the …

Creating A Peer-Managed Writing Center For Secondary Schools, Lucinda Eva Moebius

Walden Dissertations and Doctoral Studies

Student writing skills are a growing concern in secondary schools given the current focus on common core standards and college readiness. This qualitative case study addressed the growing problem of high school students being unprepared for the rigor of college level-writing. The study used a series of 10 interviews with writing center directors and teachers in 2 secondary schools with writing centers. This research adds to the literature on peer-managed writing centers and contributes to the body of knowledge of writing centers as a specific conceptual framework of response to intervention (RtI). The broad research questions were focused on 3 …

Revisiting Information Aggregation In Asset Markets: Reflective Learning & Market Efficiency, Brice Corgnet, Mark Desantis, David Porter

ESI Working Papers

The ability of markets to aggregate disperse information leading to prices that reflect the fundamental value of an asset is key to assessing the often-debated efficiency of markets. We study information aggregation in the experimental environment originally created by Plott and Sunder (1988). Contrary to the current belief, we find that markets do not aggregate information. The model that best describes our data, as well as data on information aggregation subsequent to Plott and Sunder (1988), is prior information (Lintner, 1969). That is, traders use their private information but fail to use market prices to infer other traders’ information. We …

Competition Between And Within Universities: Theoretical And Experimental Investigation Of Group Identity And The Desire To Win, Zhuoqiong Charlie Chen, David Ong, Roman M. Sheremeta

ESI Working Papers

We study how salient group identity, created through competition between students from different universities, as well as differences in the value of winning impact competitive behavior. Our experiment employs a simple all-pay auction within and between two university subject pools. We find that when competing against their peers, students within the lower tier university bid more aggressively than students within the top-tier university. Also, students from the lower tier university, in particular women, bid more aggressively when competing against students from the top-tier university. These findings, interpreted through a theoretical model incorporating both group identity and differential value of winning, …

What Makes A Good Trader? On The Role Of Quant Skills, Behavioral Biases And Intuition On Trader Performance, Brice Corgnet, Mark Desantis, David Porter

ESI Working Papers

We study the determinants of individual trader performance by conducting a comprehensive analysis of a broad range of variables that have been studied separately in different strands of the literature (financial literacy, cognitive skills, behavioral biases and the theory of mind). We utilize an experimental trading environment that allows us to control information flows into the market and measure a large set of individual characteristics. We show that behavioral biases (such as overconfidence and the failure to understand random sampling) significantly explain trader performance whereas standard cognitive and theory of mind skills only have a marginal effect. These results support …

The Gender Difference In The Value Of Winning, Zhuoqiong (Charlie) Chen, David Ong, Roman Sheremeta

ESI Working Papers

We design an all-pay auction experiment in which we reveal the gender of the opponent. Using this design, we find that women bid higher than men, but only when bidding against other women. These findings, interpreted through a theoretical model incorporating differences in risk attitude and the value of winning, suggest that women have a higher value of winning than men.

Status And The Demand For Visible Goods: Experimental Evidence On Conspicuous Consumption, David Clingingsmith, Roman M. Sheremeta

ESI Working Papers

Some economists argue that consumption of publicly visible goods is driven by social status. Making a causal inference about this claim is difficult with observational data. We conduct an experiment in which we vary both whether a purchase of a physical product is publicly visible or kept private and whether the income used for purchase is linked to social status or randomly assigned. Making consumption choices visible leads to a large increase in demand when income is linked to status, but not otherwise. We investigate the characteristics that mediate this effect and estimate its impact on welfare.

Differences In Body Satisfaction Between Black And White Heterosexual College-Aged Men, Darrell L. Renfro

Walden Dissertations and Doctoral Studies

Although there is an increasing amount of research concerning body satisfaction among heterosexual White men, few of these studies have adequately represented heterosexual Black men. This was a quantitative survey study aimed to illuminate gaps in the literature regarding Black men's body satisfaction experiences. The study used surveys and tested research questions to determine whether college-aged heterosexual Black (n = 220, 55%) and White (n = 180, 45%) men differed in their body satisfaction experiences and whether race significantly moderated the relation between sociocultural influences and body satisfaction in the two groups. This study was based on the social comparison …

Performance Enhancement And Precompetitive Anxiety Management Among Usag Junior Olympic Gymnasts, Christian Lee Way

Walden Dissertations and Doctoral Studies

Precompetitive anxiety (PCA) is problematic for young gymnasts and may have an influence on a multitude of factors like self-confidence, perceived level of self-efficacy, and athlete's performance in a competition. The objective of this 2-part study was to discover how earlier competitive experience influences the young gymnasts' level of anxiety, perception of control, and self-efficacy. An additional goal was to explore the potential impact of Guided imagery (GI) and Autogenic training (AGT) in reducing precompetitive anxiety. In the first study, 80 USAG Junior Olympic female gymnasts between the ages of 7 and 16 (40 compulsory level and 40 optional level) …

Formative Program Evaluation Of A Professional Learning Community In An Urban Elementary School, Cherie Laverne Ameyaw

Walden Dissertations and Doctoral Studies

In a professional learning community (PLC), school personnel participate in focused collaboration to improve adult learning and facilitate student achievement. Implementation of a PLC is often haphazard and not evaluated for effectiveness, resulting in poor implementation. This study, a PLC-specific qualitative formative program evaluation, addressed a lack of documented PLC effectiveness at a local urban elementary school in the southern United States. The purpose of this project was to determine how teachers described the functioning of their PLC. The conceptual framework for the study was Hord and Tobia's 6 characteristics of a PLC. The research questions focused on how teachers …

Provider-Initiated Condom Education, Hiv, And Stds Among Older African American Women, Natasha Hall

Walden Dissertations and Doctoral Studies

Older African American (AA) women are at increased risk for HIV and STDs. The purpose of this quantitative study was to examine the influence of provider-initiated condom use education on condom use among unmarried, heterosexually active AA women aged 50 and over using the constructs of self-efficacy and attitudes of the health belief theoretical model. The relationships between provider education on condom use, condom use self-efficacy, condom use attitudes, and actual condom use were tested individually, and provider education on actual condom use was tested after controlling for condom use self-efficacy and attitudes among 95 study participants recruited primarily from …

The Deterrent Effect Of Disciplinary Segregation On Prison Inmate Misconduct, Joseph William Lucas

Walden Dissertations and Doctoral Studies

Although a widely used practice, it was previously unknown whether disciplinary segregation is actually effective at modifying prison behavior. This quantitative, retrospective observational study tested deterrence theory and explored the effectiveness of disciplinary segregation in deterring subsequent prison inmate misconduct among those subjected to it (N = 228). It compared a cohort of male inmates incarcerated by the Oregon Department of Corrections who had spent time in disciplinary segregation in 2011 and/or 2012 with a comparison cohort who had not spent any time in disciplinary segregation. Three models were tested, each with the outcome variable operationalized in a different way: …

Speech-Language Pathologists On Multicultural Counseling Competency, Denise Moore Revel

Walden Dissertations and Doctoral Studies

Despite reports of speech-language pathology graduate-level programs focusing on multicultural competence, the literature suggests speech-language pathologists are not adequately educated and trained to be culturally competent. The purpose of this study was to examine the experiences of public school-based speech-language pathologists' graduate-level academic instruction and the clinical practicum experiences in multicultural competence, specifically in the area of multicultural counseling. Guided by the theory of multicultural counseling and therapy, this study used a phenomenological approach, employing semistructured, in-person interviews with 7 participants. The inclusion criteria used for selecting study participants included: having a master's degree in speech-language pathology, graduation from an …

Alleviating Risks Of Parental Incarceration Through Mentorship, Sonia Murrey

Walden Dissertations and Doctoral Studies

The focus of the present study was on the lack of positive socialization of children affected by parental incarceration. Researchers have indicated the need to broaden the examination of the effects of parental incarceration on children. Mentorship has demonstrated a positive influence for youth who display at-risk behaviors. However, there is little research regarding the effectiveness of mentorship programs for youth who have experienced the negative effects of parental incarceration. The purpose of this transcendental phenomenological study was to describe the experiences of youth who have completed an individualized mentorship program following parental imprisonment. Flyers were distributed to case managers …

Self-Perception As A Predictor Of Academic Performance In Adolescents With Learning Disabilities, Kirk Lamar Rhodes

Walden Dissertations and Doctoral Studies

Adolescents often suffer with negative feelings and low self-esteem, leading to an overall negative self-perception. Prior researchers have linked adolescent self-perception, academic performance, and learning disabilities, but more research is required. This quantitative study examined relationships between self-perception of reading, writing, spelling, and mathematics competence. In addition, global self-worth was examined through the Harter-Renick Self-Perception Profile for Learning Disabled Students (HRSPP). Student academic performance as measured by Stanford Achievement Test-10 Total Reading (SATrd) and Total Math (SATmh) scores among adolescents with learning disabilities were also examined. Student records from the Green School were gathered (n = 128), with their perceived …

Strategies For Formally Mentoring Future Business Leaders, Doreen B. Young

Walden Dissertations and Doctoral Studies

Formal mentoring programs in the financial insurance business are essential for developing important leadership business skills and for providing support for important decisions and business contacts. Business leaders lack adequate knowledge about the strategies that comprise an effective mentoring program. With the conceptual theories of Super's career development and Quinn's competing values framework, the purpose of this qualitative single case study was to explore strategies within a formal mentoring program to prepare new business leaders in the financial insurance business. Nine leaders from the financial insurance business were recruited for participation in the study; these leaders were also mentees in …

Acculturation Stress And The Coping Strategies Of Nigerian Immigrant Women In The United States, Oluwatoyin Mofoluwaso Adewunmi

Walden Dissertations and Doctoral Studies

Nigerian women who migrate to the United States are faced with complex social challenges as they acculturate to a new society. Stressful conditions and acculturation experiences may threaten the overall mental health of these immigrant women. The purpose of this study was to explore the acculturation experiences of Nigerian immigrant women living in the United States, identify stressors associated with the process, and highlight the coping strategies they employed. Stress and coping theory provided the theoretical framework for the study and phenomenological inquiry guided the research questions and method. Data were gathered through face-to-face interviews. Content analysis and coding were …

Maternal Depression, Infant Feeding Practices, And Weight Gain Among African American And Hispanic Women, Alphonsus Maduwuba Agbaere

Walden Dissertations and Doctoral Studies

Childhood overweight and obesity are public health concerns that have negative health consequences and affect many children. Efforts are needed to identify children who are at a higher risk of developing overweight and obesity so that early detection and treatment may be offered. The intent of this study was to investigate the differences in the effects of postpartum depression on infant feeding practices and infant weight gain between Hispanic and African American women. Data were obtained from Infant Feeding Practices Study 11, a longitudinal study involving mothers in their third trimester through infants first year of life. The overall test …